Bordoni Bruno, Simonelli Marta, Morabito Bruno, Escher Allan R
Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA.
Neuroscience, Mental Health and Sensory Organs (NESMOS), Sapienza University of Rome, Roma, ITA.
Cureus. 2025 Sep 7;17(9):e91782. doi: 10.7759/cureus.91782. eCollection 2025 Sep.
The spinal cord is an organ capable of sending and receiving a lot of biological and electrical information. It is not just a sending and receiving channel, but a living structure capable of autonomously processing the afferent and efferent notifications with which it comes into contact. The osteopathic neurological model includes the concept of facilitation of the spinal segment, that is, a reflex arc that is established in a spinal segment between two visceral and/or somatic structures, creating a loop of chronicity. This mechanism that implies a reflex arc would explain the somatic symptoms coming from a visceral disorder, or vice versa, involving the specific neural segment of visceral and somatic innervation. Such a reflex arc, due to the bioelectrical complexity of the nervous system, may not occur. The article briefly reviews some concepts of neurophysiology to raise new reflections on whether or not to consider the hypothesis of the facilitated segment and to have a different vision in clinical pictures that are not always easy to frame.
脊髓是一个能够发送和接收大量生物和电信息的器官。它不仅仅是一个发送和接收通道，而是一个能够自主处理其接触到的传入和传出信号的活体结构。整骨神经学模型包括脊髓节段易化的概念，即在内脏和/或躯体结构之间的脊髓节段中建立的反射弧，形成一个慢性循环。这种涉及反射弧的机制可以解释内脏疾病引起的躯体症状，反之亦然，涉及内脏和躯体神经支配的特定神经节段。由于神经系统生物电的复杂性，这样的反射弧可能不会出现。本文简要回顾了一些神经生理学概念，以引发关于是否考虑易化节段假说的新思考，并在临床症状往往难以明确诊断的情况下有不同的见解。
